Region 4 Seasons of Refreshing
Registration
First Name *
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Last Name
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CMA member # (if applicable)
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Spouse First Name (if applicable)
Your answer
Spouse Last Name (if applicable)
Your answer
Spouse CMA member # (if applicable)
Your answer
City
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Chapter
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Email
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Phone number
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How many Adult Registrations ($20 each) *
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How many youth or child registration ($5 each)
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Do you have any food allergies or restrictions?
If yes, please list in Other
How many will be staying for lunch?
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